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How fast does an appendix really burst? Is appendicitis a ticking time bomb — or is that a myth? In this video, a practicing surgeon explains how appendicitis actually behaves in real clinical settings. Rather than fixed timelines or internet myths, we explore how surgeons think about disease progression, rupture risk, and uncertainty. You’ll learn: – Why a “burst appendix” is not simply appendicitis that waited too long – Why timelines like “24–48 hours” are misleading – How surgeons evaluate trajectory instead of the clock – Why fear-based decision making can cause harm – How modern medical systems monitor and respond safely This video does not provide medical advice or instructions. It explains medical decision-making at a systems level — for education only. If you’ve ever wondered how fast appendicitis progresses, whether rupture happens suddenly, or why doctors sometimes observe instead of rushing to surgery, this video will give you clarity — without panic. ________________________________________ ⏱️ Chapters 00:00 Is appendicitis a ticking clock? 00:24 Surgeon perspective & disclaimer 00:47 The myth of the burst appendix 01:15 What most explanations get wrong 01:35 Why hospitals don’t “wait blindly” 02:17 How surgeons actually assess risk 02:36 Two patients, very different disease 03:11 Is rupture a separate condition? 03:47 Judgment vs fear in surgery 04:11 Living with clinical uncertainty 04:28 Final takeaway